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Revista Brasileira de Anestesiologia

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https://www.readbyqxmd.com/read/28259355/-effects-of-the-positive-end-expiratory-pressure-increase-on-sublingual-microcirculation-in-patients-with-acute-respiratory-distress-syndrome
#1
Nathaly Fonseca Nunes, Antônio Tonete Bafi, Eduardo Souza Pacheco, Luciano Cesar Pontes de Azevedo, Flavia Ribeiro Machado, Flávio Geraldo Rezende Freitas
OBJECTIVE: The aim of this study was to evaluate the impact of increased positive end-expiratory pressure on the sublingual microcirculation. METHODS: Adult patients who were sedated, under mechanical ventilation, and had a diagnosis of circulatory shock and acute respiratory distress syndrome were included. The positive end-expiratory pressure level was settled to obtain a plateau pressure of 30cmH2O and then maintained at this level for 20minutes. Microcirculatory (obtained by videomicroscopy) and hemodynamic variables were collected at baseline and compared with those at the end of 20min...
March 2, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28259354/-comparison-of-waste-anesthetic-gases-in-operating-rooms-with-or-without-an-scavenging-system-in-a-brazilian-university-hospital
#2
Leandro Gobbo Braz, José Reinaldo Cerqueira Braz, Guilherme Aparecido Silva Cavalcante, Kátina Meneghetti Souza, Lorena Mendes de Carvalho Lucio, Mariana Gobbo Braz
BACKGROUND AND OBJECTIVES: Occupational exposure to waste anesthetic gases in operating room (OR) without active scavenging system has been associated with adverse health effects. Thus, this study aimed to compare the trace concentrations of the inhaled anesthetics isoflurane and sevoflurane in OR with and without central scavenging system. METHOD: Waste concentrations of isoflurane and sevoflurane were measured by infrared analyzer at different locations (near the respiratory area of the assistant nurse and anesthesiologist and near the anesthesia station) and at two times (30 and 120minutes after the start of surgery) in both OR types...
March 2, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28258734/-validation-of-the-brazilian-version-of-behavioral-pain-scale-in-adult-sedated-and-mechanically-ventilated-patients
#3
Isabela Freire Azevedo-Santos, Iura Gonzalez Nogueira Alves, Manoel Luiz de Cerqueira Neto, Daniel Badauê-Passos, Valter Joviniano Santana-Filho, Josimari Melo de Santana
BACKGROUND AND OBJECTIVES: The Behavioral Pain Scale is a pain assessment tool for uncommunicative and sedated Intensive Care Unit patients. The lack of a Brazilian scale for pain assessment in adults mechanically ventilated justifies the relevance of this study that aimed to validate the Brazilian version of Behavioral Pain Scale as well as to correlate its scores with the records of physiological parameters, sedation level and severity of disease. METHODS: Twenty-five Intensive Care Unit adult patients were included in this study...
March 1, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28258733/-perioperative-gabapentin-and-pregabalin-in-cardiac-surgery-a-systematic-review-and-meta-analysis
#4
Souvik Maitra, Dalim K Baidya, Sulagna Bhattacharjee, Anirban Som
OBJECTIVES: Sternotomy for cardiac surgeries causes significant postoperative pain and when not properly managed may cause significant morbidity. As neuropathic pain is a significant component here, gabapentin and pregabalin may be effective in these patients and may reduce postoperative opioid consumption. The purpose of this systematic review was to find out efficacy of gabapentin and pregabalin in acute postoperative pain after cardiac surgery. METHODS: Published prospective human randomized clinical trials, which compared preoperative and/or postoperative gabapentin/pregabalin with placebo or no treatment for postoperative pain management after cardiac surgery has been included in this review...
March 1, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28256333/-the-effect-of-two-different-glycemic-management-protocols-on-postoperative-cognitive-dysfunction-in-coronary-artery-bypass-surgery
#5
Pinar Kurnaz, Zerrin Sungur, Emre Camci, Nukhet Sivrikoz, Gunseli Orhun, Mert Senturk, Omer Sayin, Emin Tireli, Hakan Gurvit
INTRODUCTION: Postoperative cognitive dysfunction (POCD) is an adverse outcome of surgery that is more common after open heart procedures. The aim of this study is to investigate the role of tightly controlled blood glucose levels during coronary artery surgery on early and late cognitive decline. METHODS: 40 patients older than 50 years undergoing elective coronary surgery were randomized into two groups. In the "Tight Control" group (GI), the glycemia was maintained between 80 and 120mgdL(-1) while in the "Liberal" group (GII), it ranged between 80-180mgdL(-1)...
February 27, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28256332/-anesthesia-management-by-residents-does-not-alter-the-incidence-of-recall-of-tracheal-extubation-a-teaching-hospital-based-propensity-score-analysis
#6
Satoki Inoue, Ryuichi Abe, Yuu Tanaka, Masahiko Kawaguchi
BACKGROUND AND OBJECTIVES: The memory of emergence from anesthesia is recognized as one type of anesthesia awareness. Apart from planed awake extubation, unintentional recall of tracheal extubation is thought to be the results of inadequate anesthesia management; therefore, the incidence can be related with the experience of anesthetists. To assess whether the incidence of recall of tracheal extubation is related to anesthetists' experience, we compared the incidence of recall of tracheal extubation between patients managed by anesthesia residents or by experienced anesthetists...
February 27, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28256331/-deep-versus-moderate-neuromuscular-block-during-one-lung-ventilation-in-lung-resection-surgery
#7
Javier Casanova, Patricia Piñeiro, Francisco De La Gala, Luis Olmedilla, Patricia Cruz, Patricia Duque, Ignacio Garutti
BACKGROUND AND OBJECTIVES: Neuromuscular relaxants are essential during general anesthesia for several procedures. Classical anesthesiology literature indicates that the use of neuromuscular blockade in thoracic surgery may be deleterious in patients in lateral decubitus position in one-lung ventilation. The primary objective of our study was to compare respiratory function according to the degree of patient neuromuscular relaxation. Secondary, we wanted to check that neuromuscular blockade during one-lung ventilation is not deleterious...
February 27, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28256330/-timing-of-percutaneous-tracheotomies-in-intensive-care-unit
#8
LETTER
Sukru Tekindur, Memduh Yetim
No abstract text is available yet for this article.
February 27, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28256329/-functional-residual-capacity-increase-during-laparoscopic-surgery-with-abdominal-wall-lift
#9
Hiroshi Ueda, Takuo Hoshi
BACKGROUND AND OBJECTIVES: The number of laparoscopic surgeries performed is increasing every year and in most cases the pneumoperitoneum method is used. One alternative is the abdominal wall lifting method and this study was undertaken to evaluate changes of functional residual capacity during the abdominal wall lift procedure. METHODS: From January to April 2013, 20 patients underwent laparoscopic cholecystectomy at a single institution. All patients were anesthetized using propofol, remifentanil and rocuronium...
February 27, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28249685/-multimodal-therapy-for-the-management-of-the-difficult-pediatric-airway
#10
LETTER
Manuel Ángel Gómez-Ríos, Clara Marín-Zaldívar, David Gómez-Ríos, Alberto Pensado-Castiñeiras
No abstract text is available yet for this article.
February 26, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28233573/-effects-of-lidocaine-and-magnesium-sulfate-in-attenuating-hemodynamic-response-to-orotracheal-intubation-a-single-center-prospective-double-blind-randomized-study
#11
LETTER
Fabiano Timbó Barbosa
No abstract text is available yet for this article.
February 20, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28081906/-neuraxial-analgesia-in-a-parturient-with-the-vacterl-association-undergoing-labor-and-vaginal-delivery
#12
Juan A Ramos, Shashank S Shettar, Christopher F James
INTRODUCTION: The term VACTERL is an acronym for an association of congenital malformations: including vertebral, anal, cardiac, tracheo-esophageal, renal and limb anomalies. VACTERL anomalies pose a formidable challenge to anesthesiologists. We describe the anesthetic management of a parturient with VACTERL association, who underwent neuraxial analgesia for labor and vaginal delivery. CASE REPORT: A 23 year old primigravida at 39 weeks gestation presented in labor at 4cm cervical dilatation, completely effaced, requesting labor analgesia...
January 9, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28081905/-perioperative-stroke-following-transurethral-resection-of-prostate-high-index-of-suspicion-and-stabilization-of-physiological-parameters-can-save-lives
#13
Deb Sanjay Nag, Abhishek Chatterjee, Devi Prasad Samaddar, Ajay Agarwal
We report a case of a 72 year old hypertensive male who developed severe hypertension followed by neurological deterioration in the immediate postoperative period after transurethral resection of prostate. While arterial blood gas and laboratory tests excluded transurethral resection of prostate syndrome or any other metabolic cause, reduction of blood pressure failed to ameliorate the symptoms. A cranial CT done 4hours after the onset of neurological symptoms revealed bilateral gangliocapsular and right thalamic infarcts...
January 9, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28040235/-the-effect-of-palonosetron-on-rocuronium-induced-withdrawal-movement
#14
Ki-Bum Park, Younghoon Jeon, Junggu Yi, Ji-Hyun Kim, Seung-Yeon Chung, Kyung-Hwa Kwak
BACKGROUND: Rocuronium causes pain and withdrawal movement during induction of anesthesia. In this study, palonosetron was investigated to have analgesic effect on the reduction of rocuronium-induced withdrawal movement. METHODS: 120 patients were randomly assigned to one of three groups to receive either saline, lidocaine 20mg, or palonosetron 0.075mg with a tourniquet applied two minutes before thiopental sodium (5mg·kg(-1)) was given intravenously. After loss of consciousness, rocuronium (0...
December 29, 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28040237/-comparison-of-effectiveness-of-intubation-by-way-of-gum-elastic-bougie-and-intubating-laryngeal-mask-airway-in-endotracheal-intubation-of-patients-with-simulated-cervical-trauma
#15
Esra Yildiz Sut, Solmaz Gunal, Mehmet Akif Yazar, Bayazit Dikmen
PURPOSE: In this study, we evaluated the effectiveness of intubations by way of Gum Elastic Bougie and Intubating Laryngeal Mask Airway in endotracheal intubation of patients with simulated cervical trauma. METHOD: One hundred and thirty four patients were included in the study. All patients were placed cervical collar for a simulated cervical trauma. Patients were allocated randomly into three groups: Group NI (n=45) intubation with Macintosh laryngoscopy, Group GEB (n=45) intubation with Gum Elastic Bougie, and Group ILMA (n=44) intubation with Intubating Laryngeal Mask Airway...
December 28, 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28126191/-accuracy-of-a-smartphone-to-test-laryngoscope-s-light-and-an-audit-to-our-laryngoscopes-using-an-iso-standard
#16
Diogo Alcino de Abreu Ribeiro Carvalho Machado, Dina da Assunção Azevedo Esteves, Pedro Manuel Araújo de Sousa Branca
BACKGROUND AND OBJECTIVES: Laryngoscope is a key tool in anesthetic practice. Direct laryngoscopy is a crucial moment and inadequate laryngoscope's light can lead to catastrophic consequences. From our experience laryngoscope's light is assessed in a subjective manner and we believe a more precise evaluation should be used. Our objective is to compare the accuracy of a smartphone compared to a lux meter. Secondly we audited our Operating Room laryngoscopes. METHODS: We designed a pragmatic study, using as primary outcome the accuracy of a smartphone compared to the lux meter...
March 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28089425/-a-comparison-of-various-supraglottic-airway-devices-for-fiberoptical-guided-tracheal-intubation
#17
Thomas Metterlein, Anna Dintenfelder, Christoph Plank, Bernhard Graf, Gabriel Roth
BACKGROUND: Fiberoptical assisted intubation via placed supraglottic airway devices has been described as safe and easy procedure to manage difficult airways. However visualization of the glottis aperture is essential for fiberoptical assisted intubation. Various different supraglottic airway devices are commercially available and might offer different conditions for fiberoptical assisted intubation. The aim of this study was to compare the best obtainable view of the glottic aperture using different supraglottic airway devices...
March 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28088303/-letter-to-the-editor-spinal-subarachnoid-hematoma-after-spinal-anesthesia-case-report-rev-bras-anestesiol-2016
#18
LETTER
Mohamed Hachemi
No abstract text is available yet for this article.
March 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28087067/-successful-use-of-sugammadex-for-caesarean-section-in-a-patient-with-myasthenia-gravis
#19
Lokman Soyoral, Ugur Goktas, Muhammed Bilal Cegin, Volkan Baydi
Myasthenia gravis is an autoimmune disorder that is characterized by muscle weakness that fluctuates, worsening with exertion, and improving with rest. Diagnosis of myasthenia gravis is made following clinical and physical examination and is confirmed by serum immunoassays to measure autoantibody levels. Myasthenia gravis especially when associated with pregnancy is a high-risk disease, and its course is unpredictable. We described the second report about use of sugammadex after rocuronium for a caesarean delivery with myasthenia gravis, but, unlike our case that formerly was diagnosed with myasthenia gravis, the patient was extubated on postoperative successfully and we did not encounter any respiratory problems...
March 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28081907/-anesthetic-management-of-an-infant-with-giant-abdominal-neuroblastoma
#20
Manuel Ángel Gómez-Ríos, Federico Curt Nuño, Purísima Barreto-Calvo
Neuroblastoma is the most common, non-central nervous system tumor of childhood. It has the potential to synthesize catecholamines. However, the presences of hypertension are uncommon. We report the perioperative management of a 15-month-old infant with giant abdominal neuroblastoma who presented severe hypertension. The pathophysiological alterations of neuroblastoma are reviewed and perioperative management presented.
March 2017: Revista Brasileira de Anestesiologia
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